DEER CREEK OF WIMBERLEY - WIMBERLEY, TX

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Address

555 RANCH RD 3237
WIMBERLEY, TX, 78676

Phone (make sure to verify first before calling): (512) 847-5540

Number of Certified Beds: 122
Total Number of Residents: 89
Percent of Occupied Beds: 73%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 2 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 2 Stars
Quality Measures Star Rating: 3 Stars
RN Only Star Rating: 3 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 6.43
Certified Nurse Aides - Full Time: 41.87
Certified Nurse Aides - Part Time: 0.90
Food Service Personnel - Full Time: 9.64
Food Service Personnel - Part Time: 0.40
Housekeeping Personnel - Full Time: 5.41
Licensed Practical/ Vocational Nurses - Full Time: 11.39
Licensed Practical/ Vocational Nurses - Part Time: 0.57
Medical Directors - Under Contract: 0.21
Nurses With Administrative Duties - Full Time: 6.86
Persons Not Included In Any Other Categories - Full Time: 13.27
Registered Nurses - Full Time: 2.99
Rn Director Of Nursing - Full Time: 1.14
Social Workers - Full Time: 1.14
Activities Professionals - Full Time: 1.14
Occupational Therapists - Part Time: 0.34
Physical Therapists - Part Time: 0.27
Medical Directors - Full Time: 0.29
Other Physicians - Under Contract: 0.14
Physician Extenders - Under Contract: 0.86
Dietitians - Full Time: 1.14
Sppech Pathologists - Full Time: 3.90
Registered Nurses - Part Time: 1.16
Social Workers - Part Time: 1.63
Housekeeping Personnel - Part Time: 0.77
Occupational Therapists - Full Time: 6.49
Physical Therapists - Full Time: 6.81
Occupational Therapy Assistants - Full Time: 1.14
Medication Aides/ Technicians - Part Time: 0.47
Medication Aides/ Technicians - Full Time: 7.99

Provided Services

Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Non Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Non Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.630
Texas:	0.469

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.690
Texas:	0.894

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.320
Texas:	1.350

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	0.220
Texas:	0.067

Number Therapy Hours Per Resident Per Day

This Nursing Home:	0.220
Texas:	0.074

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	16.4%
Texas:	20.4%

Percent of long-stay residents who self-report moderate to severe pain

This Nursing Home:	23.8%
Texas:	11.4%

Percent of long-stay high-risk residents with pressure ulcers

Here:	8.9%
State:	7.2%

Percent of long-stay residents who lose too much weight

Here:	7.9%
State:	6.7%

Percent of long-stay low-risk residents who lose control of their bowels or bladder

This Nursing Home:	38.6%
Texas:	46.0%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	3.7%
Texas:	3.9%

Percent of long-stay residents with a urinary tract infection

Here:	9.2%
Texas:	8.3%

Percent of long-stay residents who have depressive symptoms

Here:	1.4%
Texas:	9.3%

Percent of long-stay residents experiencing one or more falls with major injury

This Nursing Home:	2.6%
Texas:	3.5%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
Texas:	91.6%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Texas:	91.1%

Percent of short-stay residents who self-report moderate to severe pain

This Nursing Home:	22.7%
State:	20.2%

Percent of short-stay residents with Pressure ulcers that are new or worsened

Here:	0.9%
State:	1.4%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

Here:	97.7%
State:	76.2%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Texas:	74.3%

Percent of short-stay residents who newly received an antipsychotic medication

Here:	3.4%
State:	3.6%

Percent of long-stay residents who received an antipsychotic medication

Here:	23.7%
Texas:	28.5%

Complaint Deficiency

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Some (Minimal harm or potential for actual harm)

Make sure that residents are safe from serious medication errors: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Many (Minimal harm or potential for actual harm)

Properly working alarms on sprinkler valves: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Many (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Some (Actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Smoke barrier doors that can resist smoke for at least 20 minutes: Many (Minimal harm or potential for actual harm)

Record of quarterly fire drills for each shift under varying conditions: Many (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Many (Potential for minimal harm)

Proper medical gas storage and administration areas: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Provide bedrooms that don't allow residents to see each other when privacy is needed: Many (Minimal harm or potential for actual harm)

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